Microscopic Varicocele Repair

At Eva IVF & Women’s Centre, we take a comprehensive and compassionate approach to male fertility care. One of the most common yet correctable causes of male infertility is a condition called varicocele—a swelling of veins in the scrotum that affects sperm quality and production. Our advanced Microscopic Varicocele Repair offers a precise, minimally invasive solution to eliminate this condition and improve a man’s fertility potential.
If you’ve been diagnosed with low sperm count, poor motility, or unexplained infertility, this procedure could dramatically increase your chances of achieving a natural pregnancy with your partner.

What is Varicocele and Why Does It Matter?

A varicocele is a collection of enlarged veins in the pampiniform plexus, located in the scrotum. It’s similar to varicose veins in the legs but occurs around the testicles. This condition raises scrotal temperature and disrupts blood flow, which can lead to:
• Reduced sperm count
• Abnormal sperm morphology
• Decreased sperm motility
• Hormonal imbalance (lower testosterone levels)
• Testicular discomfort or dull pain
• Testicular shrinkage in some cases

What is Varicocele

💡 Varicocele is found in 15% of all men and in up to 40% of men with infertility issues.

What is Microscopic Varicocele Repair?

Microscopic Varicocele Repair is a precision-guided surgery where enlarged veins are tied off to redirect blood flow away from the testicles. The procedure uses a high-powered operating microscope, allowing surgeons to clearly differentiate veins, arteries, and lymphatics, thus minimizing complications and maximizing success.
Compared to traditional methods, the microscopic approach is the most effective and least invasive with the lowest recurrence and complication rates.

What is Microscopic Varicocele Repair

Who Should Consider This Surgery?

You may benefit from Microscopic Varicocele Repair if you have:
✔ Abnormal semen parameters (low count, motility, or morphology)
✔ A diagnosed varicocele via scrotal ultrasound or physical exam
✔ History of infertility or failed conception for over 12 months
✔ Hormonal imbalance with low testosterone
✔ Testicular pain or swelling due to varicocele
✔ Adolescents with progressive testicular size reduction

💡 This surgery is also beneficial before attempting IUI or IVF, as it improves sperm parameters and ART success rates.

How is the Procedure Performed? (Step-by-Step)

1. Pre-Surgical Evaluation
• Semen analysis to assess sperm health
• Scrotal Doppler ultrasound to confirm varicocele and grade
• Hormonal tests (FSH, LH, Testosterone)
• Consultation with fertility and surgical team
2. The Surgery
• Conducted under local, spinal, or general anesthesia
• A small incision (2–3 cm) is made in the groin area
• A microscope is used to visualize the spermatic cord structures
• All dilated veins are carefully isolated and ligated (tied off)
• Arteries and lymphatics are preserved to avoid complications
• Incision is closed with dissolvable stitches

⏱️ Duration: 1–2 hours
🏥 Usually a day-care procedure (discharged same day)

💡 The microscopic technique ensures precise vein identification and a lower risk of recurrence.

Recovery & Postoperative Care

✔ Light walking and daily activities can resume within 24–48 hours
✔ Avoid strenuous activity, gym, or intercourse for 2–3 weeks
✔ Use scrotal support and prescribed pain medication for comfort
✔ Follow-up visit scheduled after 7–10 days
✔ Semen analysis repeated after 3 and 6 months to track improvements

Recovery & Postoperative Care

💡 Most men experience a noticeable improvement in semen quality within 3–6 months.

Benefits of Microscopic Varicocele Repair

🌟 Improves sperm count, motility, and morphology
🌟 Boosts testosterone levels and hormone balance
🌟 Increases chances of natural conception
🌟 Enhances success rates of IVF or IUI
🌟 Minimal pain, low complication risk, and fast recovery
🌟 Lowest recurrence rates among all surgical options

💡 Studies show that up to 70% of men see improved semen parameters after varicocele repair, and up to 45% achieve natural conception.

Microscopic Varicocelectomy vs. Other Techniques

Microscopic Varicocelectomy vs. Other Techniques

💡 The microscopic technique is considered the gold standard by leading urology and fertility associations.

Who Should NOT Have This Surgery?

Microscopic Varicocele Repair may not be recommended for:
❌ Men with normal semen parameters and no fertility issues
❌ Asymptomatic small varicoceles with no impact on testicular health
❌ Men with non-viable sperm production (testicular failure)
❌ Those with severe medical conditions that make surgery risky

💬 Our specialists will provide personalized advice based on detailed assessments.

Why Choose Eva IVF & Women’s Centre for Varicocele Repair?

Doctor consultation

🌟 Highly experienced microsurgeons trained in male fertility procedures
🌟 State-of-the-art surgical equipment and microsurgical theatre
🌟 Complete male fertility evaluation and follow-up care
🌟 High success rates with hundreds of satisfied patients
🌟 Compassionate counseling and holistic fertility planning

We’re not just treating veins—we’re reviving your reproductive potential.



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